Coronary heart disease
Illness creeps in unnoticed
Coronary heart disease develops gradually and by the time when it manifests itself, it usually goes very far.
For the first time, the disease manifests itself in different ways: myocardial infarction, angina, or a sudden cardiac catastrophe. caused by cardiac arrhythmias. In patients with newly developed angina, as a rule, narrowing is found in the coronary arteries (atherosclerotic plaques).
The plaque does not appear overnight. If we examine it under a microscope, then, like annual rings of a tree, it has a layered structure indicating age. Already in children, lipid spots are found on the inner lining of the arteries. By the age of 50 (sometimes later, sometimes earlier), the plaque can grow so large that it will impede the flow of blood to the heart muscle.
Causes of illness
Under conditions of rest or at low loads, even in the presence of constrictions in the coronary arteries, the heart muscle often does not experience oxygen starvation. The situation changes dramatically during exercise, when parts of the heart to which blood flows through the narrowed coronary arteries begin to suffer from oxygen deficiency. This leads to myocardial ischemia (hence the name of the disease – ischemic heart disease). The degree of ischemia increases when a spasm of the coronary artery occurs at the site of the plaque, further narrowing the vessel lumen.
However, today we are not talking about the manifestations of the disease, but about what factors contribute to the formation of atherosclerotic plaques in the coronary arteries and how to stop the development of the disease.
Among the population, myocardial infarction is surrounded by a halo of a noble disease. It is believed that he is like a payment for his life and social activity, for overwork and overstrain. It is even accepted to say: “brought to a heart attack”, “worked to a heart attack”, “a little heart attack did not work.” But usually the moment of the onset of myocardial infarction is preceded by a long series of days when patients themselves created this disease for themselves. They sculpted it from risk factors, like a swallow makes a nest out of lumps of earth, lay on sofas, stood at tram stops, sat at tables filled with food, weaved from clouds of tobacco smoke, called on their disregard for work and rest.
Doctors do not divide the disease on the honorable, unacceptable and unworthy. They proved that those with coronary artery disease. those who do not walk an extra mile on foot will not put off an extra piece of food from their plates. From medical observations and special studies, the theory of risk factors for coronary heart disease was born.
Who has a higher risk of getting sick?
Of the risk factors for coronary heart disease, the most dangerous are: high cholesterol in the blood, persistent increase in blood pressure, diabetes, smoking, obesity, alcohol consumption, lack of exercise, frequent psycho – emotional overload.
Detection of one or several of the listed factors in a person means not that he is already suffering from coronary heart disease, but that he is predisposed to it. The more risk factors are found in a person, the greater the likelihood of getting sick and at a younger age.
The value of each risk factor is ambiguous and depends on the intensity, duration and constancy of the impact of a particular factor, on their combination, on the degree of susceptibility of a person to their influence.
Risk factors are genetically determined and acquired. In most cases, it is not a disease that is inherited, but a predisposition to it. Therefore, the hereditary nature of this or that disorder should not be perceived as something fatal, but on the contrary, should encourage active prevention.
In rare cases, the disorder of cholesterol metabolism begins in childhood. Cholesterol accumulates in the tendons, the skin. in the iris and in the walls of blood vessels. In these patients, ischemic heart disease develops early.
In most cases, the accumulation of cholesterol in the body is the result of excess nutrition and low physical activity. Many years pass before it leads to illness. Therefore, a person has enough time to resist the harmful effects of risk factors.
Hereditary predisposition to diabetes is not in doubt. However, in most cases, if a patient follows a carbohydrate-restricted diet, does not overload insular pancreatic cells, the disease does not form, and this example shows that it is possible to withstand those risk factors that are hereditary.
Alcohol and heart
Among those who die suddenly on the street, at work, at home, there are quite a few people who suffer from coronary heart disease. But few people know that the immediate cause of the death of almost every second person among those who died suddenly was alcohol. Often, death occurs during a hangover, when the body is oversaturated with alcohol burning products, which leads to severe heart rhythm disturbances.
A paradoxical situation arises. Tragically, people die for many years, “acquiring” their disease, hidden in pain for many years. And in the same way practically healthy people die. not necessarily alcoholics, but drunk hard.
Is it possible to withstand risk factors?
Yes you can. Ways to influence them are extremely simple: restrictions in nutrition, physical activity, quitting smoking and alcohol, adherence to work and rest. These recommendations are well known to the banality, ordinary to boring, sensational and not exotic, but nothing better has been invented.
Restraint in eating gives not only slim figure, youthfulness and mobility. The main result is the normalization of metabolism in the body, primarily the unloading of cholesterol.
What gives physical fitness? The person looks better, feels more confident, less tired. But not only in this case. It has a beneficial effect on metabolic processes in the body. Even if the disease has developed, a trained person is better prepared to withstand it. A physically trained person suffers less from angina.
People have different attitudes to the risk of developing coronary heart disease. Some completely neglect the self-control over behavior, regime, nutrition, considering it unworthy of the attention of a business person. They do not want to change anything in their lifestyle. Others, although they think about the dangers that await them, do not really undertake anything because of employment, laziness, doubts about success.
Some live constantly with the thought that they can get sick, and they often develop hypochondria syndrome. It is difficult to live for a person who sees only danger in the whole world around. Life can become very dull when a person counts every day a piece of sugar (ah, diabetes), oil (ah, atherosclerosis), salted fish (ah, hypertension); when upset because of the slightest violation of the daily regimen (oh, overwork of the nervous system) or bad weather (oh, cold).
Others are excessively active in confronting risk factors. Observe non-dietary diets, starve, run, or, without measuring their capabilities with exercise, rhythmic gymnastics.
Extremes are unacceptable. Between them there are those who lead a full-blooded, full-fledged life, harmoniously combining creative labor activity, physical and emotional activity and control over their lifestyle.
Habits are different
Habits are considered to be harmful or beneficial depending on how they affect the health of people and others.
The habit of smoking contributes to the development of coronary heart disease, obliterating endarteritis, chronic bronchitis, lung cancer, and stomach ulcers.
The habit of hypokinesia, that is, low physical activity, leads to many misfortunes. A sad spectacle is represented, for example, by students of the Moscow Institute of Railway Engineering who crowd around the metro station Novoslobodskaya waiting for a tram, while the institute can be reached in 15 minutes.
The habit of overeating is laid in childhood through the efforts of children-loving parents. The habit of overeating at the festive table is gradually turning into the habit of overeating at every meal. As a result, the burden of serious illnesses.
Often you can hear the call “Fight bad habits!”. Such a call suggests campaigning. So you see the gloomy, resolute face of a man overcoming something. Much more accurate is the call: “Develop good habits!” From a set of good habits creates a healthy lifestyle.
The development of good habits leads to the fact that the health of a healthy person is prolonged, and in patients with early manifestations of the disease their progression is suspended.
The formula of good habits: “I do not smoke,” “Thank you, but I do not eat at night,” “Because of two stops, I never get on the bus,” “I avoid using the elevator.” “I am done with the habit on all occasions and for no reason to drink alcohol.” From the complex of such good habits a certain stereotype of behavior is formed.
The stereotype of behavior must be laid from childhood: the habit and love of physical exertion, moderation in food, restraint in behavior, aversion to tobacco and alcohol.
Getting rid of bad habits and working out useful ones is much more difficult. Replacing bad habits with useful ones involves restructuring the stereotype of behavior, attitudes, motivations. This process can be painful, difficult, cause internal opposition.
In the process of overcoming habits, there is its own sweetness, the sweetness of victory over oneself. A person gets the opportunity to test himself and his will.
How can a proud man happen when he manages to give up bad habits: “I quit smoking for half a year already”, “I lost 2 kilograms in a month.” never missed a session. ”
As fashion designers create the fashion of the season, let’s create a fashion for health, for life without risk factors!
Physical activity should be a way of life since childhood!